Individual
TALIA VAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
458 GRAND AVE, NEW HAVEN, CT 06513-3856
(203) 752-1212
Mailing address
66 ORANGE ST APT 404, NEW HAVEN, CT 06510-3143
(860) 463-2785
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/16/2019
Last updated
04/16/2019
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